School Reintegration Post-Psychiatric Hospitalization: Protocols and Procedures Across the Nation

Abstract. Psychiatric hospitalization can cause significant distress for patients. Research has shown that to cope with the stress, patients sometimes resort to self-harm. Given the paucity of research on self-harm among psychiatric inpatients, a better understanding of transdiagnostic processes as predictors of self-harm during psychiatric hospitalization is needed. The current study examined whether coping styles predicted self-harm after controlling for commonly associated factors, such as age, gender, and borderline personality disorder. Participants were 72 patients (mean age = 39.32 years, SD = 12.29, 64% male) admitted for inpatient treatment at a public psychiatric hospital in Sydney, Australia. Participants completed self-report measures of coping styles and ward-specific coping behaviors, including self-harm, in relation to coping with the stress of acute hospitalization. Results showed that younger age, diagnosis of borderline personality disorder, and higher emotion-oriented coping were associated with self-harm. After controlling for age and borderline personality disorder, higher levels of emotion-oriented coping were found to be a significant predictor of self-harm. Findings were partially consistent with hypotheses; emotion-oriented but not avoidance-oriented coping significantly predicted self-harm. This finding may help to identify and provide psychiatric inpatients who are at risk of self-harm with appropriate therapeutic interventions.

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External Validity of SCORS-G Ratings of Thematic Apperception Test Narratives in a Sample of Outpatients and Inpatients

Rorschachiana Journal of the International Society for the Rorschach ◽

10.1027/1192-5604/a000057 ◽

2015 ◽

Vol 36 (1) ◽

pp. 58-81 ◽

Cited By ~ 10

Author(s):

Michelle B. Stein ◽

Jenelle Slavin-Mulford ◽

Caleb J. Siefert ◽

Samuel Justin Sinclair ◽

Michaela Smith ◽

...

Keyword(s):

Life Events ◽

Psychiatric Hospitalization ◽

Clinical Care ◽

Thematic Apperception Test ◽

Clinical Samples ◽

Cross Sectional ◽

Conduct Disordered ◽

Global Ratings ◽

Thematic Apperception ◽

History Of

Abstract. The Social Cognition and Object Relations Scale-Global Ratings Method (SCORS-G; Stein, Hilsenroth, Slavin-Mulford, & Pinsker-Aspen, 2011 ) is a reliable system for coding narrative data, such as Thematic Apperception Test (TAT) stories. This study employs a cross-sectional, correlational design to examine associations between SCORS-G dimensions and life events in two clinical samples. Samples were composed of 177 outpatients and 57 inpatients who completed TAT protocols as part of routine clinical care. Two experienced raters coded narratives with the SCORS-G. Data on the following clinically relevant life events were collected: history of psychiatric hospitalization, suicidality, self-harming behavior, drug/alcohol abuse, conduct-disordered behavior, trauma, and education level. As expected, the clinical life event variable associated with the largest number of SCORS-G dimensions was Suicidality. Identity and Coherence of Self was related to self-harm history across samples. Emotional Investment in Relationships and Complexity of Representations were also associated with several life events. Clinical applications, limitations of the study, and future directions are reviewed.

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Underage Admissions to a Brief Psychiatric Hospitalization Unit

10.26226/morressier.5a6ef3ead462b80290b57e39 ◽

2018 ◽

Author(s):

María del Henar De la Red Gallego

Keyword(s):

Psychiatric Hospitalization

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The experience of parents faced with the admission of their adolescent to a child and adolescent psychiatric inpatient unit. A qualitative study with focus groups

Current Psychology ◽

10.1007/s12144-021-01901-6 ◽

2021 ◽

Author(s):

Beatriz Merayo-Sereno ◽

Aránzazu Fernández-Rivas ◽

Keyth Lany de Oliveira-Silva ◽

Francisco-Javier Sánchez-Andérez ◽

Eva Sesma-Pardo ◽

...

Keyword(s):

Focus Groups ◽

Psychiatric Hospitalization ◽

Emotional Experience ◽

Psychiatric Inpatient ◽

Health Behavior Change ◽

Child And Adolescent ◽

Inpatient Unit ◽

Entire Family ◽

Parental Experience ◽

Psychiatric Inpatient Unit

AbstractThe admission of an adolescent to a child and adolescent psychiatric inpatient unit has a serious impact on the entire family unit. The emotional experience of those primary caregivers has been scarcely studied qualitatively despite being recommended by previous research. This study aims to examine the experience of parents of adolescents with mental health needs that required psychiatric hospitalization in a child and adolescent unit. Qualitative cross-sectional research was carried out under the recommendations of Grounded Theory with three Focus Groups of parents (N = 22) of adolescents who required psychiatric hospitalization in a child and adolescent ward. The COREQ quality criteria were applied. The parental experience implies a high level of emotional suffering modulated by feelings of guilt, stigma, parental awareness of their child’s illness and the passage of time. The use of Prochaska’s and Diclemente’s trans-theoretical model of health behavior change is useful in understanding the parental experience.

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Applying Bowen Theory to Psychiatric Assessment and Disposition in the ED

Journal of the American Psychiatric Nurses Association ◽

10.1177/1078390320987636 ◽

2021 ◽

pp. 107839032098763

Author(s):

Kathleen B. Kerr

Keyword(s):

Psychiatric Hospitalization ◽

Theoretical Orientation ◽

Admission Rate ◽

Hospitalization Rate ◽

The Other ◽

Psychiatric Evaluation ◽

Bowen Theory ◽

Management Service ◽

Psychiatric Assessment ◽

Psychiatric Hospitalizations

BACKGROUND: A number of variables have been shown to influence whether an individual who experiences an emergency psychiatric assessment is admitted to a psychiatric hospital. This study focused on the theoretical orientation of the assessing clinician as a possibly influential variable. The theoretical orientation being studied was Bowen family systems theory or Bowen theory (Bt). Overall the Bt perspective looks at the family as the primary crucible that generates symptoms but at the same time as the natural unit and the best built-in resource to deal with those symptoms. AIMS: This study examined whether the theoretical orientation of the nurse psychiatric assessor would affect her inpatient admission rate of patients seen for psychiatric evaluation in an emergency department (ED). METHOD: A clinician/researcher with extensive experience applying Bt in clinical practice worked in a Crisis Management Service providing psychiatric evaluation and disposition in a busy community hospital ED. Given Bt’s emphasis on the system rather than individual pathology, the clinician researcher hypothesized that her psychiatric hospitalization rate would be lower than the other clinical nurse specialists. A retrospective chart review analyzed 1 year of cases from all referrals that might have resulted in psychiatric hospitalizations ( n = 1,801). RESULTS: The clinician/researcher’s psychiatric hospitalization rate was significantly lower ( p = .004) than the other clinicians. CONCLUSION: An approach to psychiatric assessment in the ED applied a Bt perspective in a way that significantly reduced psychiatric hospitalizations.

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